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Expert orthopaedic care for bones, joints and muscles from Next Journey Orthopaedics. We treat injuries and arthritis with advanced care to restore mobility. Orthopaedics This is a branch of medicine concerned with musculoskeletal disorders. We treat injuries to bone, joints, muscles, tendons, ligaments and nerves. We use non-operative measures that include but are not limited to medications, therapy, injections, and surgery. Appointments Expert Orthopaedic Care for Every Stage of Your Journey From sprains and fractures to joint pain and sports injuries, our orthopaedic team blends evidence‑based medicine with genuine compassion. We start with the least invasive options, coordinate closely with your primary care, and help you return to the activities you love—safely and confidently. Conditions We Treat Ankle Fracture A break in one or more of the bones that make up the ankle joint, often due to trauma or twisting injury. Read All Biceps Tendon Rupture A tear of the tendon that attaches the biceps muscle to the shoulder or elbow, causing pain and weakness. Read All Cubital Tunnel Syndrome Compression of the ulnar nerve at the elbow, causing numbness, tingling, and weakness in the ring and little fingers. Read All Fractures Breaks in bones caused by trauma, overuse, or underlying conditions that weaken bone. Read All Golfer's Elbow Inflammation of the tendons that attach to the inner elbow, causing pain from repetitive stress. Read All Knee Arthritis Inflammation or degeneration of the knee joint causing pain, swelling, and stiffness. Read All Lower Back Pain Discomfort or pain in the lower spine region caused by strain, injury, or underlying conditions. Read All Paronychia Infection of the skin around the fingernail or toenail, leading to redness, swelling, and tenderness. Read All Radial Styloid Tenosynovitis (DeQuervains) Inflammation of the tendons on the thumb side of the wrist, causing pain with movement. Read All Rotator Cuff Tear An injury to the group of muscles and tendons stabilizing the shoulder joint, leading to pain and limited arm movement. Read All Shoulder Dislocation When the upper arm bone pops out of the shoulder socket, causing pain and instability. Read All Shoulder Osteoarthritis Degenerative joint disease of the shoulder, leading to pain, stiffness, and limited motion. Read All Tennis Elbow Inflammation of the tendons on the outside of the elbow, causing pain and tenderness often due to overuse. Read All Thumb Basal Joint Arthritis Arthritis at the base of the thumb, causing pain, weakness, and difficulty gripping. Read All Trochanteric Bursitis Inflammation of the bursa over the outer hip, leading to pain on the outside of the thigh and hip. Read All Ankle Sprain Stretching or tearing of the ligaments in the ankle, usually from rolling or twisting the foot. Read All Carpal Tunnel Syndrome Compression of the median nerve in the wrist, leading to numbness, tingling, and weakness in the hand. Read All Felon A painful infection of the fingertip, typically involving the pulp of the finger. Read All Ganglion Cyst A noncancerous lump, often on the wrist or hand, filled with a jellylike fluid. Read All Hip Osteoarthritis Degenerative joint disease of the hip leading to pain, stiffness, and reduced mobility. Read All Knee Osteoarthritis A degenerative joint disease characterized by the breakdown of cartilage, causing pain and stiffness in the joints. Read All Neck Pain/Strain Pain or stiffness in the neck muscles, often due to poor posture, injury, or strain. Read All Patellofemoral Syndrome Pain around the kneecap due to overuse, misalignment, or cartilage irritation, often called 'runner's knee'. Read All Radial Tunnel Syndrome Compression of the radial nerve in the forearm, leading to pain and weakness in the forearm and hand. Read All Sacroiliitis Inflammation of one or both sacroiliac joints, causing pain in the lower back and buttocks. Read All Shoulder Impingement Syndrome Compression of the rotator cuff tendons in the shoulder, causing pain and restricted movement. Read All Soft Tissue Mass An abnormal lump or growth in muscles, fat, or other soft tissues, often benign but may require evaluation. Read All Thoracic Pain/Strain Pain or strain in the mid-back region, often caused by posture, injury, or muscle fatigue. Read All Trigger Finger A condition where a finger gets stuck in a bent position due to inflammation of the tendon sheath. Read All Wrist Tendonitis Inflammation of the tendons in the wrist, often from repetitive movements, causing pain and swelling. Read All Care that starts conservative: rest/activity tuning, bracing, anti‑inflammatories, and physical therapy. Surgical options when indicated: minimally invasive arthroscopy, fracture fixation, joint reconstruction—always with shared decision‑making and clear expectations. On‑site diagnostics: X‑ray and ultrasound imaging. Rehab & prevention: personalized home exercise programs and return‑to‑activity planning. Procedures when appropriate: ultrasound‑guided injections, aspiration, casting/splinting.

Next Journey Orthopaedics delivers empathetic, patient-centered care. Same-day/next-day visits, hand & wrist, foot & ankle, and hip care with on-site X-ray and ultrasound. Searching for an orthopedic doctor near me or orthopedic urgent care? Get clear answers, non-surgical first options, and expert treatment. Book online today. Orthopaedic & Primary Care Centered on You Explore Comprehensive Orthopaedics & Primary Care in Northern Virginia Explore Comprehensive Orthopaedics & Primary Care in Northern Virginia Explore Comprehensive Orthopaedics & Primary Care in Northern Virginia Explore Comprehensive Orthopaedics & Primary Care in Northern Virginia Call 571-416-8244 Monday through Friday from 6 AM to 6 PM and Saturday 9 AM to 1 PM to Schedule Appointments YOUR NEXT STEP STARTS HERE Board-Certified Care • Personalized Recovery Plans • Preop Evaluations • On-Site EKG • On-Site Ultrasound Imaging • On-Site X-ray Imaging • Women’s Musculoskeletal Health and Wellness • Open Mon – Sat Explore Orthopaedics Explore Primary Care Request a Visit We listen first. Share in the decision. Create clear plans that fit your life. Primary Care We believe in whole-person care. Next Journey Orthopaedics partners with Next Journey Health & Wellness to bring board certified orthopaedic surgeon and board certified primary care physician together under one roof. Your providers collaborate on a single plan—injury care and rehab, preventive screenings, women’s health, and chronic condition management—so you can move confidently and feel your best. Learn More Orthopaedics Care From fractures and sports injuries to joint pain and post‑surgical recovery, our team helps you move confidently again. Primary Care & Wellness Preventive care, chronic condition management, women’s health and wellness support—care for your whole journey. Collaborative Care Across Specialties Serving DC, Maryland, Northern Virginia Quick Scheduling + Accessibility Patient-Centered Experience I'm beyond impressed with the advice and clear direction given by the doctor and team. They necessary time and action I was not expecting at the time on the first visit. For sure will be going back and send friends and family. KB The appointment was last minute, but the staff and doctor were communicative and effective. I would recommend this location to anyone with orthopedic issues. AR Excellent doctor, listened and explained everything in a way that was understandable. Clear and simple." CC 자세히 알아볼 준비가 되셨나요? Next Journey Orthopaedics의 직원은 귀하의 질문에 답변하고 정형 외과 요구 사항을 용이하게 할 준비가 되어 있습니다. 저희 사무실은 버지니아 북부에서 가장 접근이 용이한 Tyson's Corner의 중앙에 위치하고 있습니다. Next Journey Orthopaedics에서 우리의 모든 것을 확인하십시오. Journey Series Exercises Surgery Experience Contact

Next Journey Orthopaedics offers personalized fracture care with expert trauma specialists, compassionate support, and seamless coordination—empowering your recovery every step of the way Ultrasound Guided Carpal Tunnel Release Carpal Tunnel Relief—Without Hospital Surgery If carpal tunnel syndrome is causing numbness, tingling, or weakness in your hand—and other treatments haven’t helped—surgery may be recommended. Today, many patients can be treated without a hospital visit, general anesthesia, or a large incision. Find out if your a good candidate FAQs How long should I use ice after an injury? You should use ice for the first 24 to 72 hours after an injury to reduce swelling and pain. Apply an ice pack for 15–20 minutes every 2–3 hours, ensuring there is a barrier (like a towel) between the ice and your skin to prevent frostbite. Once the swelling subsides, you can switch to heat therapy to relax muscles and improve circulation When is it safe to switch from ice to heat? It’s safe to switch to heat therapy after the acute swelling has gone down, usually 48–72 hours after the injury. Heat therapy is ideal for loosening stiff muscles, improving circulation, and promoting healing in the later stages of recovery. However, if there’s still visible swelling or inflammation, stick to ice. Can I use PRICE for chronic injuries? Yes, parts of PRICE, like heat, rest, and compression, can be used for chronic injuries. Heat therapy can help with stiffness and muscle relaxation, while rest and compression may support healing. However, chronic injuries often require additional treatment like physical therapy, and you should consult a specialist for a personalized recovery plan.

Discover patient-centric orthopedic care at Next Journey Orthopaedics. Our dedicated team focuses on delivering the optimal experience for each patient, ensuring personalized treatment plans and compassionate support. Let's work together to figure the best solutions for your musculoskeletal care." Top of Page Non-Operative Treatment Fractures Operative Treatment Surgery Experience Treatment Appointments Diagnoses Before surgery is recommended, the risk and benefits of alternative treatments is considered for each condition. Non operative and the least invasive measures like prevention, rest, heat, ice compression, therapy, NSAIDS, Tylenol, muscle relaxants, and pain alleviating devices are considered. Surgery is recommended when it offers a greater clinical outcome or there was a failure to resolve symptoms by other methods. Non-operative Fractures Operative Surgery Experience

Explore our comprehensive guide on mobility aids and wound care products, including crutches, canes, walkers, and more. Learn about effective treatments for shoulder conditions like labral tears, arthritis, and frozen shoulder. Discover essential items such as gauze, hydrocolloid dressings, and vitamin E for optimal wound healing. Whether you need support for mobility or recovery, find the right solutions for your needs. Miscellaneous Items Appointments Crutches and Canes 4- legged cane Example: Vive Quad Cane Cane Medline Cane Walker Drive Medical Walker Crutches The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Scooter This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Wound Care Adaptic Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Gauze Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Hydrocolloid dressings Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Medihoney The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability. Vitamin E This condition involves excessive movement or looseness of the shoulder joint, which can result in frequent dislocations or subluxations (partial dislocations). Symptoms may include a sensation of the shoulder "slipping out of place," pain, weakness, and decreased range of motion. Mederma This condition occurs when the rotator cuff tendons become pinched or compressed between the bones in the shoulder. Symptoms often include shoulder pain, particularly with overhead movements, and may worsen with repetitive activities. Cast Care Accessories Cast Cover Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Mold Skin Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Cast Deoderizer Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Globes and Gadgets MOVA Globe Arthritis in the shoulder joint can result from various causes, including osteoarthritis, rheumatoid arthritis, or post-traumatic arthritis. Symptoms typically include shoulder pain, stiffness, swelling, and reduced range of motion. Spinning Light Biceps tendonitis involves inflammation of the long head of the biceps tendon, which runs from the shoulder to the elbow. Symptoms include shoulder pain, particularly in the front of the shoulder, and may worsen with overhead activities or lifting. Floating Light Frozen shoulder is characterized by stiffness and pain in the shoulder joint, often resulting from inflammation and tightening of the shoulder capsule. Symptoms typically progress slowly and may worsen over time, leading to significant limitations in shoulder mobility. Sisyphus Table The labrum is a ring of cartilage that surrounds the socket of the shoulder joint, providing stability and cushioning. Tears in the labrum can occur due to trauma, overuse, or repetitive shoulder movements. Symptoms may include shoulder pain, clicking or popping sensations, and feelings of instability.

Schedule your appointment at Next Journey Orthopaedics today! Privia patients can easily book online or call 571-416-8244 during office hours. Be sure to check your Privia Patient Portal, and bring your photo ID, insurance card, and relevant medical records, including MRI and X-ray discs. Visit us at 8255 Greensboro Drive, Suite 150, McLean, VA 22102, and find directions and parking details on our website. 응급실을 떠나기 전에 해야 할 일: Insurances Accepted Self Pay Options Submit Paperwok Schedule an appointment Privia Patients Book On-Line During office hours call 571-416-8244 After office hours call or text 571-425-5393 Fill out a website contact us form Please leave us your best contact number when registering. You may get a call before your appointment to pre-register/confirm information. Before your appointment Check your status on Privia Patient Portal Read Credit Card policy Update preferred pharmacy Update medications on your patient portal What to have for your appointment Photo Id Insurance Card Credit Card to be kept on file List of medications Disc of studies (MRI, CAT Scan, X-Rays) related to issue How to get to your appointment - 8255 Greensboro Drive, STE 150, McLean, VA 22102. Click here for directions. - Parking - Office Entrance

Understand Next Journey Orthopaedics' financial policies, including credit card on file, insurance exemptions, pre-visit eligibility checks, and billing practices. Serving Northern Virginia, DC, and Maryland near Tysons Corner 2025 Financial Policy | Next Journey Orthopaedics Bill Pay Located near Tysons Corner in Fairfax County serving the Northern Virginia, DC, and Maryland area. We are a short walk and located near Tyson's Galleria & Silver Line Metro ✅ Key Features - Same-day billing support - HIPAA-compliant payments 💳 Credit Card Policy - Same-day billing support - VA state law compliance - HIPAA-compliant payments Accepted Cards 🛡️ Exemptions ( You don't need a card if you have ) - Worker's Comp 📞 *Call (571) 416-8244 to verify exemption status* Credit Card on File Policy To streamline the billing process and enhance patient convenience, we securely store your credit card information using our payment processor's platform. This card will be charged only after your insurance claim has been processed. You will receive an email notification detailing your financial responsibility, and you have 48 hours to review or dispute the charge before payment is processed. Your card may be charged for payments not collected at the time of service, no-show or late cancellation fees, unresolved insurance discrepancies after 90 days, and outstanding balances over 90 days. Credit Card on File Exemptions Certain patients are exempt from providing a credit card on file. These exemptions include individuals with active Worker’s Compensation related policies. Pre-Visit Eligibility and Financial Responsibility To prevent any issues related to eligibility and financial responsibility, we conduct eligibility checks at least 24 hours before your appointment. Our staff will proactively communicate with you to ensure you understand our payment policies and have clear expectations regarding the billing process. For Walk-Ins, we will perform the eligibility check before your visit. If there is a delay, please consider visiting local area sites like Tysons Corner Mall or The Boro while we resolve registration concerns. Upfront Authorization and Payment Information We collect authorization and payment information before providing services. This practice helps us ensure accurate billing and reduces the potential for confusion or delayed statements. Co-Pay Collection Before the Visit For a smoother experience, we encourage the collection of co-pays before your visit, while you are in the waiting room. This allows our staff to address any questions or concerns you might have about our payment policies on the spot. Patient Portal Efficient and Simplified Billing Statements We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. Empathetic Debt Collection Approach We strive to make billing as straightforward as possible. In the event of an outstanding balance, we will send you monthly billing statements through both paper mail and electronic delivery. Our statements are designed to be clear and easy to understand, with prominently displayed payment options, including online and phone payments. If you have an active Privia patient portal, you have the option to pay online. Click the link below. You will be rerouted to a secure site where you will be asked to provide your account and credit card information. Please allow up to three business days for your payment to be posted to your Next Journey Orthopaedics account. Please email any questions to financial@nextjourneyortho.net Bill Pay

Ready for your visit to Next Journey Orthopaedics? Discover accepted insurances, schedule appointments online or by phone, and get step-by-step preparation tips for a seamless experience. Find us easily in McLean, VA—click to learn more and get started today! 응급실을 떠나기 전에 해야 할 일: Insurances Accepted Self Pay Options 응급실을 떠나기 전에 해야 할 일: Book On-Line During office hours call 571-416-8244 Fill out a website contact us form Please leave us your best contact number when registering. You may get a call before your appointment to pre-register/confirm information. 응급실을 떠나기 전에 해야 할 일: Read Credit Card policy Check with your insurance if you need a referral Setup your Privia Patient Portal Complete Pre-registration forms through Privia or DocResponse 응급실을 떠나기 전에 해야 할 일: Valid Photo ID Insurance Card Credit Card to be kept on file. Please review our Credit Card policy List of medications Disc of studies (MRI, CAT Scan, X-Rays) related to issue 응급실을 떠나기 전에 해야 할 일: - 8255 Greensboro Drive, STE 150, McLean, VA 22102. Click here for directions. - Parking Free Parking is located on surface. Please do not park in garage or you will have to pay for parking. - Office Entrance The door is located to the left of the main entrance. We have a separate exterior entrance to the office.

At Next Journey Orthopaedics, we provide essential guidance on cast care to ensure a smooth recovery. Learn how to keep your cast dry, manage discomfort, and recognize signs of complications. Explore our tips and resources for a safe and comfortable healing process, along with recommended products to support your recovery. Caring for Your Cast Made Simple and Safe Appointments Contact Us for Cast Issues Top of Page Essentials Daily Living with a Cast Cast Appearance and Maintenance Cast Complications Preparing for Cast Removal Castcare Contact Us Cast Items Follow our expert guidelines to protect your recovery and avoid complications Cast Care Guide The Essentials of Casting Care At Next Journey Orthopaedics, we understand that wearing a cast can be a new and sometimes challenging experience. Proper cast care is crucial to ensure a smooth recovery and avoid complications. Below, we’ve answered some of the most common questions patients have about cast care, providing you with the information you need to stay comfortable and safe. Keep Your Cast Dry How do I keep my cast dry while bathing or showering? It’s essential to keep your cast dry to prevent skin irritation or infection. Use a waterproof cast cover, available at most pharmacies, to protect your cast during showers or baths. Alternatively, you can wrap your cast in plastic bags and secure them with rubber bands. Avoid submerging your cast in water. W hat should I do if my cast gets wet? If your cast gets wet, contact our office immediately. A wet cast can lead to skin irritation or infection. We may need to replace your cast or provide additional care instructions. Managing Discomfort How can I relieve itching inside the cast? Itching is a common issue. Avoid inserting objects like hangers into the cast, as this can damage the skin or the cast. Instead, try gently tapping on the cast or using a hairdryer on a cool setting to blow air into it. How do I reduce swelling around the cast? Elevate the affected limb above heart level as much as possible, especially during the first few days. Applying ice to the area around the cast can also help, but be sure to keep the cast dry. Is it normal for my fingers or toes to feel numb or tingly? Numbness or tingling could indicate that your cast is too tight, if you elevate the limb and it does not resolve, please contact us to potentially come in to have the cast adjusted. Ensuring Cast Integrity What should I do if my cast feels too tight or too loose? A cast that’s too tight can restrict blood flow, while a loose cast won’t provide proper support. If you notice your cast no longer provides the support you need, please reach out to us for an evaluation. What should I do if the cast cracks or breaks? A damaged cast cannot provide the support you need. If your cast cracks or breaks, contact our office right away. We’ll assess the situation and replace the cast if necessary. Essentials Daily Living with a Cast Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We recommend not driving while wearing a cast. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Cast Appearance and Maintenance Can I walk on my cast, and if so, when? Walking on your cast depends on the type of injury and the cast itself. If your cast is a weight-bearing type, we’ll let you know when it’s safe to start walking. Always follow our instructions closely to avoid injury. Can I drive or operate machinery while wearing a cast? Driving or operating machinery can be risky while wearing a cast, especially if it affects your mobility or reaction time. We do not recommend attempting to drive. What activities should I avoid while wearing a cast? Avoid activities that could damage your cast or put you at risk of injury, such as contact sports, lifting heavy objects, or exposing the cast to water. Focus on keeping the cast clean, dry, and intact. How can I prevent pressure sores or skin irritation under the cast? Keep the cast clean and dry, and avoid inserting objects to scratch your skin. If you notice any unusual discomfort or sores, contact us immediately for an assessment. Monitoring for Complications What signs of infection or complications should I look for? Watch for increased pain, excessive swelling, foul odor, drainage from under the cast, or a fever. These could be signs of an infection. If you notice any of these symptoms, contact us immediately. When should I contact my doctor about my cast? You should reach out to us if you experience any of the following: Severe pain not relieved by elevation or pain medication. Numbness or tingling in the extremities. A wet or damaged cast. Signs of infection, such as redness, warmth, or unusual odors. Preparing for Cast Removal How is the cast removed, and will it hurt? Cast removal is a straightforward procedure done with a special cast saw that won’t harm your skin. While it may feel a bit uncomfortable due to vibrations, it shouldn’t hurt. Once removed, your skin may be dry or flaky, and your limb may feel stiff. We’ll guide you through the next steps in your recovery. Can I exercise or do physical therapy with the cast on? In some cases, we may recommend specific exercises to maintain strength and mobility. Always follow our instructions to avoid injury. Once the cast is removed, physical therapy may be recommended to restore full function. Trust Your Care to Next Journey Orthopaedics At Next Journey Orthopaedics, we’re committed to ensuring that you have the best possible experience during your recovery. Our team is always here to answer your questions and provide the support you need. If you have any concerns about your cast or your recovery, don’t hesitate to reach out to us. Contact Us Phone: 571-416-8244 Address: 8255 Greensboro Drive, Ste 150, McLean, VA 22102 Additional Items Cast Scratcher Relieve itching with our convenient Cast Scratcher. Perfect for reaching those hard-to-access spots under your cast without causing damage. Ideal for patients recovering from fractures or surgeries. Cast Socks Keep your cast clean and comfortable with our premium Cast Socks. Designed to fit snugly over any cast, they protect against dirt and add an extra layer of warmth. Available in various sizes and colors. Comfort Itching and Odor Spray Experience instant relief with our Comfort Itching and Odor Spray. Specially formulated to soothe itchiness and eliminate odors under casts and braces. A must-have for a more comfortable recovery. Cool Air Hairdryer Stay cool and comfortable with our Cool Air Hairdryer. Perfect for drying the inside of your cast and reducing itchiness. Safe to use on all types of casts and bandages. Crutch Cushions Enhance your crutch experience with our ergonomic Crutch Cushions. Providing superior comfort and support, these cushions help prevent soreness and fatigue. Easy to attach and washable. Knee Scooter Move around effortlessly with our durable Knee Scooter. An excellent alternative to crutches, it offers stability and ease of use during your recovery from foot or ankle injuries. Knee Walker Navigate your recovery with ease using our Knee Walker. Designed for patients with lower leg injuries, it provides a smooth ride and maximum comfort. Adjustable and foldable for convenience. Leg Elevation Pillows Promote faster healing with our Leg Elevation Pillows. Ideal for reducing swelling and improving circulation post-surgery or injury. Made from high-density foam for ultimate support. Long Arm Cast Covers Protect your long arm cast with our waterproof Long Arm Cast Covers. Perfect for showering and bathing, these covers ensure your cast stays dry and secure. Available in multiple sizes. Moleskin Prevent blisters and irritation with our high-quality Moleskin. Perfect for padding rough edges of casts or braces, ensuring maximum comfort during your recovery. Post-Op Shoes Ensure stability and comfort with our Post-Op Shoes. Designed for post-surgical recovery, these shoes provide support and protection for your feet. Adjustable and available in various sizes. Shoe Lift Balance your steps with our adjustable Shoe Lift. Ideal for compensating height differences caused by casts or orthopedic conditions, ensuring a more natural walking experience. Short Arm Cast Covers Keep your short arm cast dry and protected with our waterproof Short Arm Cast Covers. Perfect for showering and bathing, these covers are easy to use and come in multiple sizes. 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Next Journey Orthopaedics offers expert diagnosis and treatment for a wide range of orthopedic conditions, including shoulder, knee, hip, and spinal injuries. Our specialized services include surgical and non-surgical options tailored to each patient’s needs. Schedule your appointment today! Emergency Room Splinting Guide | Next Journey Orthopaedics Appointments Diagnoses Quick Instructions for ER providers At Next Journey Orthopaedics, we understand the urgency of stabilizing orthopedic injuries in the emergency room. This page provides concise, step-by-step instructions for correctly applying the most commonly used splints, ensuring proper immobilization before definitive orthopedic care. Shoulder and Arm Elbow Forearm Wrist Thumb Hand (Ulnar Gutter) Hand (Radial Gutter) Humeral Shaft Fracture Position - Elbow flexed at 90 degrees if patient allows it. Material - Cut 2-to-4-inch wide orthoglass. Measure from the axilla or armpit, looping below or around the inside part of the elbow and up the lateral or outside the upper arm and ending over top of the shoulder. Apply Padding – Cover the entire humerus with soft padding. Apply Splint – Wrap around the humerus, ensuring immobilization. Secure with Bandages – Avoid over-tightening near the axilla. Assess Fit – Ensure adequate immobilization without restricting blood flow 22612 - Lumbar spine fusion, posterior/posterolateral technique, single level 22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level 22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level 22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace 22633 - Lumbar spine fusion, combined with decompression, single level 22634 - Lumbar spine fusion, combined with decompression, each additional level 22857 - Total disc arthroplasty (artificial disc), anterior approach, lumbar 22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar 22862 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar, each additional level 22865 - Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar 22867 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, lumbar 63030 - Laminotomy (decompression) 63047 - Laminectomy, facetectomy and foraminotomy, single vertebral segment 63048 - Laminectomy, facetectomy and foraminotomy, each additional segment 63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment 63057 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), each additional segment 22612 - Lumbar spine fusion, posterior/posterolateral technique, single level 22614 - Lumbar spine fusion, posterior/posterolateral technique, each additional level 22630 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single level 22632 - Arthrodesis, posterior interbody technique, including laminectomy and/or discectomy to prepare interspace, single interspace 22633 - Lumbar spine fusion, combined with decompression, single level 22634 - Lumbar spine fusion, combined with decompression, each additional level 22857 - Total disc arthroplasty (artificial disc), anterior approach, lumbar 22859 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar 22862 - Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, lumbar, each additional level 22865 - Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar 22867 - Insertion of intervertebral biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring, lumbar 63030 - Laminotomy (decompression) 63047 - Laminectomy, facetectomy and foraminotomy, single vertebral segment 63048 - Laminectomy, facetectomy and foraminotomy, each additional segment 63056 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), single segment 63057 - Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral disc), each additional segment Posterior Long Arm Splint (For Supracondylar Fractures, Elbow Dislocations, Olecranon Fractures) Position - Dependent on injury. Material - Cut 2-to-4-inch wide orthoglass. Measure 2 inches distal from axilla or armpit down the back of the elbow and down the forearm until the palmar crease of the hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap to the back of the elbow, ensuring immobilization. Secure with Bandages – Avoid over-tightening near the axilla. Assess Fit – Ensure adequate immobilization without restricting blood flow Sugar Tong Splint (For Distal Radius/Ulna Fractures, Displaced Colles’ Fractures) Position - Depends on injury but elbow is usually 90 degrees of flexion and the wrist is usually in neutral. Material - Cut 2 to 3 inch wide orthoglass. Measure from metacarpal head dorsally (back of the knuckles) and then up the forearm loop around the elbow and then down then forearm stopping at palmar crease of hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to above the elbow to the level of the biceps making. Secure with Bandages – Avoid over-tightening near the elbow. Assess Fit – Ensure adequate immobilization without restricting blood flow Volar Wrist Splint (For Wrist Sprains, Carpal Fractures, Distal Radius Fractures) Position - Depends on injury but wrist is usually in neutral. Material - Cut 2 to 3 inch wide orthoglass. Measure from 2 inches distal from the antecubital (elbow) crease to the palmar crease of hand. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to 1 inch below the antecubital (elbow) crease Secure with Bandages – Avoid over-tightening near the elbow. Assess Fit – Ensure adequate immobilization without restricting blood flow Thumb Spica Splint (For Scaphoid Fractures, UCL Injuries, Thumb Metacarpal Fractures) Position - Depends on injury but wrist is usually 10 to 20 degrees of extension Material - Cut 2 to 3 inch wide orthoglass. Measure from thumb (below or distal to injury) up to the antecubital (elbow) crease for scaphoid and carpal fractures OR to the mid forearm for UCL and thumb metacarpal injuries. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measured level. Apply in a U shaped fashion at the thumb. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow Forearm Based Thumb Spica Splint Hand-Based Thumb Spica Splint Ulnar Gutter Splint (For Boxer’s Fractures, 4th & 5th Metacarpal Fractures) Position - Depends on injury but wrist is usually 20 to 30 degrees of extension, 4th and 5th digits in intrinsic plus (70-90 degrees of MCP joint or hand knuckles flexion and 0-10 degrees of PIP joint or finger knuckles flexion) Material - Cut 4 to 6 inch wide orthoglass. Measure from mid forearm to just beyond the 5th fingertip. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measure level. Apply in a U shaped fashion at the 5th finger. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow Radial Gutter Splint (For 2nd & 3rd Metacarpal Fractures, Radial-Sided Hand Injuries) Position - Depends on injury but wrist is usually 20 to 30 degrees of extension, 2nd and 3rd digits in positions of comfort Material - Cut 4 to 6 inch wide orthoglass. Measure from mid forearm to just beyond the 2nd fingertip. Cut the orthoglass longitudinally leaving a bridge of about 1-2 inches remaining. Apply Padding – Cover the same distance with soft padding. Apply Splint – Wrap from the hand to measure level. Apply in a U shaped fashion at the 2nd finger. Secure with Bandages – Avoid over-tightening near the wrist. Assess Fit – Ensure adequate immobilization without restricting blood flow

Experience compassionate, comprehensive primary care at Next Journey Health and Wellness. From annual physicals and chronic disease management to preventive screenings and women’s health, Dr. Mina Garrett-Scott and her team provide expert care for every stage of life—helping you feel your best and stay well every day. Primary Care Primary Care is a branch of medicine that addresses the care of the "whole patient." Primary care physicians help to optimize patient's health by screening for and treating chronic health conditions, performing surveillance labs and testing, assessing familial risks for diseases and assisting patients with formulating a care plan that addresses their concerns. Family Physicians are general practice doctors that can treat the entire family- from newborns to geriatric patients. Appointments Expert Primary Care for Every Stage of Your Journey Primary Care physicians provide expert care, managing both acute illnesses and chronic health conditions. From seasonal flu to diabetes and hypertension management, primary care physicians are trained to address your whole health. Primary Care Physicians work to develop a "medical home" for patients, providing diagnosis, treatment and appropriate referrals to specialists when warranted. Your Family Physician cares for you, helps you coordinate care plans formulated by your specialists and serves as the "quarterback" helping to organize and optimize your health. Conditions We Treat Annual Physical Exam Comprehensive review of your health goals, risks, and labs—your yearly roadmap. Read All Breast Cancer Screening Screening discussions tailored to your age and risk. Read All Diabetes Screening (A1c) Check A1c/glucose and risk factors to catch problems early. Read All Hypertension (High Blood Pressure) Manage blood pressure with lifestyle, medications, and easy monitoring. Read All Prediabetes Prevent progression with weight, movement, and nutrition plans. Read All Hyperthyroidism Overactive thyroid causing palpitations, weight loss, heat intolerance. Read All COPD (Chronic Bronchitis/Emphysema) Breathing support, inhalers, rehab, and prevention. Read All GERD (Acid Reflux) Heartburn/acid reflux; diet, habits, and medication options. Read All Irregular Periods Identify causes and personalize treatment options. Read All Perimenopause & Menopause Symptoms Hot flashes, sleep, mood, and bone health—options tailored to you. Read All Vaginal Infections (Yeast/BV) Testing and treatment for common causes of irritation and discharge. Read All Sore Throat Rapid testing and treatment for strep and viral infections. Read All Sinusitis Congestion, facial pain—evaluation and stepwise care. Read All Skin Rashes (Dermatitis) Identify triggers; topical care; referrals when needed. Read All Weight Management Evidence‑based plans with nutrition, activity, sleep, and medications if appropriate. Read All Stress & Anxiety (Screen & Refer) Screening, brief support, and referrals to therapy when needed. Read All Nutrition Counseling Practical, sustainable eating patterns matched to your goals. Read All Back & Neck Strain (Primary Care) Initial evaluation, symptom relief, and referral to Orthopaedics when indicated. Read All Cervical Cancer Screening (Pap) Pap/HPV testing to prevent and detect cervical cancer early. Read All Cholesterol (Lipid) Screening Check cholesterol and cardiovascular risk to guide prevention. Read All STI Screening Screen for sexually transmitted infections with discreet, evidence‑based care. Read All Type 2 Diabetes Personalized nutrition, activity, and medications when needed. Read All Hypothyroidism Underactive thyroid causing fatigue, weight gain, and cold intolerance. Read All Asthma Breathing plan with inhalers, triggers, and action steps. Read All High Cholesterol Lifestyle changes with or without medication to lower risk. Read All Contraception Counseling Find a birth control method that fits your life and goals. Read All PCOS (Polycystic Ovary Syndrome) Metabolic and hormonal support for symptoms and fertility planning. Read All Urinary Tract Infections (UTIs) Fast evaluation and treatment; prevention strategies for recurrences. Read All Prenatal (Preconception) Counseling Optimize health and medications before pregnancy. Read All Upper Respiratory Infection Sinus, cough, and cold symptoms—comfort care or meds as needed. Read All Ear Infection Otitis media/externa evaluation and treatment. Read All Minor Injuries & Sprains Initial care, bracing, and quick triage to Orthopaedics if needed. Read All Sleep Problems (Insomnia) Sleep hygiene, behavioral strategies, and medical options. Read All Migraine Identify triggers; preventive and acute options. Read All Smoking/Vaping Cessation Quit plans, medications, and ongoing support for tobacco and vaping. Read All Osteoarthritis (Primary Care) Lifestyle, pain relief, and coordination with Orthopaedics. Read All